Individual provider Active NPI

Edward Valkov, M.D.

  • Psychiatry Physician
  • Wheat Ridge, CO
National Provider Identifier
1043283955
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C148173 Issued in CA
Practice address
3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035
Phone
(303) 467-4000
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 49632 CO
Psychiatry Physician 2084P0800X C148173 CA Primary

Addresses

Primary practice location

3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035

Mailing address

3400 Lutheran Pkwy
Wheat Ridge, CO 80033-6035
Phone (303) 467-4000

Other practice location 1

3255 Esplanade
Chico, CA 95973-0255
Phone (530) 899-3150

Other identifiers 2

IdentifierTypeStateIssuer
CA509705OtherCAMEDICARE
8043302MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001413 CA Practitioner - Psychiatry 4183682008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1304 Ella St
Suite B
San Luis Obispo, CA 93401-4166
Phone (805) 541-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49632COMDNeurology Physician
C148173CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden County Health Services Center PastSince Jun 30, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: edward.valkov.1@23821.direct.athenahealth.com
  • Direct secure messaging: evalkov30418@direct.sclhealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1043283955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336035",
            "telephone_number": "303-467-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336035",
            "telephone_number": "303-467-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3255 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959730255",
            "country_code": "US",
            "telephone_number": "530-899-3150",
            "fax_number": "530-899-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALKOV",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "49632",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C148173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA509705",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8043302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.